1. Supporting Clinicians to Use Technology to Deliver Highly Personalized and Measurement-Based Mental Health Care to Young People: Protocol for an Evaluation Study
- Author
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Mitchell Dowling, Grace Yeeun Lee, Cathrin Rohleder, Yun Ju C. Song, Elizabeth M. Scott, Blake Hamilton, Shane Cross, Henriette C Dohnt, Samuel J Hockey, Haley M LaMonica, Ian B. Hickie, and Tracey A Davenport
- Subjects
adoption into clinical practice ,Service delivery framework ,Health information technology ,Computer applications to medicine. Medical informatics ,education ,R858-859.7 ,youth mental health ,Qualitative property ,Audit ,03 medical and health sciences ,0302 clinical medicine ,mental health service delivery ,Protocol ,030212 general & internal medicine ,Protocol (science) ,Medical education ,training ,Behavior change ,General Medicine ,Digital health ,Mental health ,030227 psychiatry ,health information technology ,transdiagnostic ,Kirkpatrick evaluation ,Medicine ,Psychology ,model of care coordination - Abstract
Background Australia’s mental health care system has long been fragmented and under-resourced, with services falling well short of demand. In response, the World Economic Forum has recently called for the rapid deployment of smarter, digitally enhanced health services to facilitate effective care coordination and address issues of demand. The University of Sydney’s Brain and Mind Centre (BMC) has developed an innovative digital health solution that incorporates 2 components: a highly personalized and measurement-based (data-driven) model of youth mental health care and a health information technology (HIT) registered on the Australian Register of Therapeutic Goods. Importantly, research into implementation of such solutions considers education and training of clinicians to be essential to adoption and optimization of use in standard clinical practice. The BMC’s Youth Mental Health and Technology Program has subsequently developed a comprehensive education and training program to accompany implementation of the digital health solution. Objective This paper describes the protocol for an evaluation study to assess the effectiveness of the education and training program on the adoption and optimization of use of the digital health solution in service delivery. It also describes the proposed tools to assess the impact of training on knowledge and skills of mental health clinicians. Methods The evaluation study will use the Kirkpatrick Evaluation Model as a framework with 4 levels of analysis: Reaction (to education and training), Learning (knowledge acquired), Behavior (practice change), and Results (client outcomes). Quantitative and qualitative data will be collected using a variety of tools, including evaluation forms, pre- and postknowledge questionnaires, skill development and behavior change scales, as well as a real-time clinical practice audit. Results This project is funded by philanthropic funding from Future Generation Global. Ethics approval has been granted via Sydney Local Health District’s Human Research Ethics Committee. At the time of this publication, clinicians and their services were being recruited to this study. The first results are expected to be submitted for publication in 2021. Conclusions The education and training program teaches clinicians the necessary knowledge and skills to assess, monitor, and manage complex needs; mood and psychotic syndromes; and trajectories of youth mental ill-health using a HIT that facilitates a highly personalized and measurement-based model of care. The digital health solution may therefore guide clinicians to help young people recover low functioning associated with subthreshold diagnostic presentations and prevent progression to more serious mental ill-health. International Registered Report Identifier (IRRID) PRR1-10.2196/24697
- Published
- 2020